Q:
My doctor mentioned doing a scope of my knee. What does this mean and what will it entail? Answered by
Jack Farr M.D.
A:
“Scope” is an abbreviation for arthroscopy. “Arthro” refers to joint and “scopy” is derived from a Greek word meaning to look—in this case, doctors look into the knee joint with a lens. The lens (called an Arthroscope) is inserted through a small incision (less than half an inch) and the interior of the joint is viewed using a video camera. The camera connects to a TV monitor, which the entire surgical team views together. The surgeon and team have a clear and detailed view of the joint, which helps them to finalize the diagnosis. Together with the pre-operative examination, this information allows the surgeon to treat many knee problems through another small incision using specialized instruments. Typically the surgery is performed as an outpatient. It is important to remember that there are numerous knee problems and as many treatments, so each individual’s surgery will be unique. Although the incisions may be the same on two patients, their post-operative recovery time may be vastly different. That is why it is extremely important to understand your diagnosis and your specific treatment. You need to rely on your surgeon for post-operative instructions. Your friend or neighbor who has had a similar “scope” may have an entirely different problem and post-op course of treatment.
Q:
I am going to have arthroscopic surgery in a few weeks; how can I prepare? What is the recovery time after arthroscopic surgery? Answered by
Jack Farr M.D.
A:
The knee joint is very dependent upon muscular support. In addition, the muscles play a role in “shock absorption.” Pain and swelling often lead to a decrease in strength, so optimizing strength before surgery will help the rehabilitation in the post-operative setting. An exercise program is directed by your surgeon so as to not overload, or further damage, injured areas. Many people take over the counter anti-inflammatory drugs. Some of these may prolong the bleeding time and thus, on your surgeons advice, these may need to be discontinued before surgery. Nutritional supplements are also popular, but they may interfere with anesthetics. Your surgeon can tell you which ones to stop before surgery. Finally, it is a good idea to discuss the post-operative rehab and post-op course before surgery, as it is easier to remember at that time than on the day of surgery when your mind is on other things. The recovery after surgery is dependent upon various factors and it is difficult to estimate. Your surgeon may be able to provide you with more details. Pay close attention to elevation, chilling, weight-bearing status, and exercise recommendations.
Q:
I recently had arthroscopic surgery and my recovery was going well until two weeks ago when I started feeling knee pain. Should I return to the doctor who did my surgery or get another opinion? Answered by
Jack Farr M.D.
A:
You do not mention when you had surgery. Pain is your body’s warning light and goes on for both large and small problems. Pain is not to be ignored. Fortunately, your treating surgeon has experience in the post-operative phase of treatment. Your doctor can make recommendations on how to treat the “symptom” of pain, and also direct management to alleviate the underlying cause of the pain.
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